MARY G GRACIA (NPI# 1144211806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144211806 |
| Entity Type | Individual |
| Full Name | MARY G GRACIA |
| Practice Address |
1 Boone Rd Bremerton WA 98312-1894 |
| Practice Telephone | 3604754426 |
| Practice Fax Number | 3604754344 |
| Mailing Telephone | 3604754426 |
| Mailing Fax Number | 3604754344 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
525473 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 BOONE RD |
| City | BREMERTON |
| State | WA |
| Zip Code | 98312-1894 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104829548 | Jeffrey Steven Martens | Pediatrics | 1 Boone Rd, Bremerton, WA 98312-1894 | 2005-05-31 |
| 1871106039 | Matthew Raymond Wasilewski | Dentist | 1 Boone Rd, Bremerton, WA 98312-1898 | 2020-08-27 |
| 1124637269 | Jason D Balazs | Nurse Anesthetist, Certified Registered | 1 Boone Rd, Bremerton, WA 98312-1894 | 2020-07-24 |
| 1649893769 | Joy Marie Abonitalla Bautista | Registered Nurse | 1 Boone Rd, Bremerton, WA 98312-1894 | 2020-05-22 |
| 1710511027 | Brad Levi Okeefe | Nurse Practitioner | 1 Boone Rd, Bremerton, WA 98312-1898 | 2020-02-25 |
| 1659914091 | Caitlin Sleight | Psychologist | 1 Boone Rd, Bremerton, WA 98312-1894 | 2019-10-17 |
| 1477194603 | Nicholas Kovacevic | Dentist | 1 Boone Rd, Bremerton, WA 98312-1894 | 2019-09-29 |
| 1023576295 | Jennifer Danielle Squazza | Advanced Practice Midwife | 1 Boone Rd, Bremerton, WA 98312-1898 | 2019-03-06 |
| 1538654348 | Ashley Simpson | Dentist | 1 Boone Rd, Bremerton, WA 98312-1898 | 2018-06-25 |
| 1619481280 | Victor Roger Chu | Pharmacist | 1 Boone Rd, Bremerton, WA 98312-1894 | 2017-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962025114 | Candace Mckenzie | Counselor | 2564 Cascades Pass Blvd, The Landings Bldg. 779, Bremerton, WA 98312 | 2020-05-22 |
| 1710473590 | Sandra Louise Walker | Family Medicine | 14301 Nw Coho Run, Bremerton, WA 98312 | 2018-07-05 |
| 1467947663 | Jason David Alexander | Military Health Care Provider | Uss Kentucky, Ssbn, Fpo, AE 98312 | 2018-06-29 |
| 1588176614 | Institute Family for Development | Community/Behavioral Health | 5610 Kitsap Way, Suite 315, Bremerton, WA 98312 | 2017-10-30 |
| 1720521321 | Debra Lynn Lemieux | Counselor | 5762 Chico Way Nw, Bremerton, WA 98312 | 2016-11-30 |
| 1164840047 | Amber Rose Morison | Chiropractor | 3963 Sand Dollar Road West, Bremerton, WA 98312 | 2014-03-28 |
| 1942625611 | Kristen Williams | Clinic/Center | 5112 Nw Taylor Rd., Bremerton, WA 98312 | 2014-03-04 |
| 1184049629 | Tariku Tsegaye Messele | Specialist/Technologist | 5112 Nw Taylor Road, Bremerton, WA 98312 | 2014-02-20 |
| 1063784064 | Johnson Chiropractic Clinic | Clinic/Center | 3721 Kitsap Way Suite #8, Bremerton, WA 98312 | 2012-02-06 |
| 1194013532 | Casey Mccann | Student in an Organized Health Care Education/Training Program | 1 Boone Rd., Naval Hospital Bremerton, Bremerton, WA 98312 | 2011-07-19 |
| Find all providers in zip 98312 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710511027 | Brad Levi Okeefe | Nurse Practitioner | 1 Boone Rd, Bremerton, WA 98312-1898 | 2020-02-25 |
| 1639554892 | Allyson Whalen | Nurse Practitioner | One Boone Road, Naval Hospital, Bremerton, WA 98312-1898 | 2015-07-29 |
| 1447268933 | Faith Claman | Nurse Practitioner | 616 6th St, Bremerton, WA 98337-1420 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200509 | Megan Maureen Bauer | Nurse Practitioner | 6057 California Ave Sw, Seattle, WA 98136-1612 | 2020-09-17 |
| 1265077960 | Hannah Thornton | Nurse Practitioner | 4800 Sand Point Way Ne # Fa.2114, Seattle, WA 98105-3901 | 2019-11-17 |
| 1598319683 | Jennifer Lynn Bryson | Nurse Practitioner | 8738 Falls Ave Se, Snoqualmie, WA 98065-9610 | 2019-07-28 |
| 1013494434 | Lindsay Bascom Brown | Nurse Practitioner | 12815 120th Ave Ne Ste A, Kirkland, WA 98034-3003 | 2018-07-27 |
| 1518475631 | Sarah Remorca Agtarap | Nurse Practitioner | 175 1st Pl Nw Ste A, Issaquah, WA 98027-2746 | 2018-01-11 |
| 1518470137 | Bear Creek Pediatrics | Nurse Practitioner | 105 W 8th Ave Ste 7035, Spokane, WA 99204-2313 | 2017-11-06 |
| 1871005298 | Alexis Anne Abel | Nurse Practitioner | 15650 Ne 24th St Ste C, Bellevue, WA 98008-2460 | 2017-10-25 |
| 1326569021 | Spencer Rorie Crihfield | Nurse Practitioner | Po Box 1452, Pasco, WA 99301-1223 | 2017-07-03 |
| 1912427386 | Melinda Ehren Kratzig | Nurse Practitioner | 4800 Sand Point Way Ne # Msoa9220, Seattle, WA 98105-3901 | 2017-06-26 |
| 1245766880 | Jennifer Jean Baker | Nurse Practitioner | 904 7th Ave Fl 3, Seattle, WA 98104-1132 | 2017-05-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.